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Rectal prolapse

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International Journal of Colorectal Disease Aims and scope Submit manuscript

An Erratum to this article was published on 01 December 2007

Abstract

Introduction

Rectal prolapse, or procidentia, is defined as a protrusion of the rectum beyond the anus. It commonly occurs at the extremes of age. Rectal prolapse frequently coexists with other pelvic floor disorders, and patients have symptoms associated with combined rectal and genital prolapse. Few patients, a lack of randomized trials and difficulties in the interpretation of studies of anorectal physiology have made the understanding of this disorder difficult.

Methods of treatment

Surgical management is aimed at restoring physiology by correcting the prolapse and improving continence and constipation, whereas in patients with concurrent genital and rectal prolapse, an interdisciplinary surgical approach is required. Operation should be reserved for those patients in whom medical treatment has failed, and it may be expected to relieve symptoms. Numerous surgical procedures have been suggested to treat rectal prolapse. They are generally classified as abdominal or perineal according to the route of access. However, the controversy as to which operation is appropriate cannot be answered definitively, as the extent of a standardized diagnostic assessment and the types of surgical procedures have not been identified in published series.

Literature review

This review encompasses rectal prolapse, including aetiology, symptoms and treatment. The English-language literature about rectal prolapse was identified using Medline, and additional cited works not detected in the initial search were obtained. Articles reporting on prospective and retrospective comparisons and case reports were included.

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References

  1. Jacobs LK, Lin YJ, Orkin BA (1997) The best operation for rectal prolapse. Surg Clin North Am 77:49–70

    Article  PubMed  CAS  Google Scholar 

  2. Felt-Bersma RJ, Cuesta MA (2001) Rectal prolapse, rectal intussusception, rectocele and solitary ulcer syndrome. Gastroenterol Clin North Am 30:199–222

    Article  PubMed  CAS  Google Scholar 

  3. Roig JV, Buch E, Alós R et al (1998) Anorectal function in patients with complete rectal prolapse: differences between continent and incontinent individuals. Rev Esp Enferm Dig 90:794–805

    PubMed  CAS  Google Scholar 

  4. Wassef R, Rothenberger DA, Goldberg SM (1986) Rectal prolapse. Curr Probl Surg 23:397–451

    Article  PubMed  CAS  Google Scholar 

  5. Mann CV (1969) Rectal prolapse. In: Morson BC, Heinemann W (eds) Diseases of the colon and rectum and anus. Medical Books, London, pp 238–250

    Google Scholar 

  6. Siproudhis L, Bellisant E, Juguet F et al (1998) Rectal adaptation to distension in patients with overt rectal prolapse. Br J Surg 85:1527–1532

    Article  PubMed  CAS  Google Scholar 

  7. Aitola PT, Hiltunen KM, Matikainen MJ (1999) Functional results of operative treatment of rectal prolapse over an 11-year period: emphasis on transabdominal approach. Dis Colon Rectum 42:655–660

    Article  PubMed  CAS  Google Scholar 

  8. Briel JW, Schouten WR, Boerma MO (1997) Long-term results of suture rectopexy in patients with fecal incontinence associated with incomplete rectal prolapse. Dis Colon Rectum 40:1228–1232

    Article  PubMed  CAS  Google Scholar 

  9. Hiltunen KM, Matikainen MJ, Auvinen O, Hietanen P (1986) Clinical and manometric evaluation of anal sphincter function in patients with rectal prolapse. Am J Surg 151:489–492

    Article  PubMed  CAS  Google Scholar 

  10. Keighley MR, Fielding JWL, Alexander-Williams J (1983) Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg 70:229–232

    Article  PubMed  CAS  Google Scholar 

  11. Cirocco WC, Brown AC (1993) Anterior resection for the treatment of rectal prolapse: a 20-year experience. Am Surg 59:265–269

    PubMed  CAS  Google Scholar 

  12. Keighley MR, Shouler PJ (1984) Abnormalities of colonic function in patients with rectal prolapse and faecal incontinence. Br J Surg 71:892–895

    Article  PubMed  CAS  Google Scholar 

  13. Mann CV, Hoffman C (1988) Complete rectal prolapse: the anatomical and functional results of treatment by an extended abdominal rectopexy. Br J Surg 75:34–37

    Article  PubMed  CAS  Google Scholar 

  14. Tjandra JJ, Fazio VW, Church JM et al (1993) Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum 36:501–507

    Article  PubMed  CAS  Google Scholar 

  15. Womack NR, Williams NS, Holmfield JHM et al (1987) Pressure and prolapse—the cause of solitary rectal ulceration. Gut 28:1228–1233

    Article  PubMed  CAS  Google Scholar 

  16. Boutsis C, Ellis H (1974) The Ivalon-sponge-wrap operation for rectal prolapse: an experience with 26 patients. Dis Colon Rectum 17:21–37

    Article  PubMed  CAS  Google Scholar 

  17. Moody RL (1969) Rectal prolapse. In: Morson BC (ed) Diseases of the colon, rectum and anus. Appleton-Century-Crofts, New York, pp 238–250

    Google Scholar 

  18. Riolanus I (1598) Methodus medendi tam generalis quam particularis. Hadrianum Perier, Paris, pp 142–143

    Google Scholar 

  19. Fabricius ab Aquapendente (1648) Opera chirurgica quorum pars prior pentateuchum chirurgicum posterior operationes chirurgicias. Impensis Francis Bolzettae, Patauii, p 101

    Google Scholar 

  20. Johnson T (1634) The works of that famous chirurgeon Ambrose Parey. Cotes and Young, London

    Google Scholar 

  21. Woodall J (1617) The Surgeon’s mate. Edward Griffin, London

    Google Scholar 

  22. Muir EG (1955) Prolapse of the rectum. Proc R Soc Med 48:33–44

    PubMed  CAS  Google Scholar 

  23. Hughes ESR (1957) Surgery of the anus, anal canal and rectum. E & S Livingston, London

    Google Scholar 

  24. Salmon F (1831) Practical observations on prolapsus of the rectum, 2nd edn. Whittaker, Teacher and Arnot, London, pp 1–18

    Google Scholar 

  25. Mikulicz J (1988) Zur operativen behandlung dis prolapsus recti et coli invaginati. Arch Klin Chir 38:74–97

    Google Scholar 

  26. Lockhart-Mummery JP (1910) A new operation for prolapse of the rectum. Lancet 1:641

    Article  Google Scholar 

  27. Moschcowitz AV (1912) The pathogenesis, anatomy and cure of prolapse of the rectum. Surg Gynecol Obstet 15:7–21

    Google Scholar 

  28. Monro A (1811) The morbid anatomy of the human gullet, stomach, and intestines. Archibald Constable & Co, Edinburgh, pp 363

    Google Scholar 

  29. Broden B, Snellman B (1968) Procidentia of the rectum studied with cineradiography. Dis Colon Rectum 11:330–347

    Article  PubMed  CAS  Google Scholar 

  30. Kuijpers HC (1992) Treatment of complete rectal prolapse: to narrow, to wrap, to suspend, to fix, to encircle, to plicate or to resect? World J Surg 16:826–830

    Article  PubMed  CAS  Google Scholar 

  31. Nicholls RJ (1994) Rectal prolapse and the solitary ulcer syndrome. Ann Ital Chir 65:157–162

    PubMed  CAS  Google Scholar 

  32. Porter N (1961) A physiological study of the pelvic floor in rectal prolapse. Ann R Coll Surg Engl 31:379–404

    Google Scholar 

  33. Devadhar DSC (1965) A new concept of mechanism and treatment of rectal procidentia. Dis Colon Rectum 8:75–81

    Article  PubMed  CAS  Google Scholar 

  34. Pantowitz D, Levine E (1975) The mechanism of rectal prolapse. S Afr J Surg 13:53–56

    Google Scholar 

  35. Sun WM, Read NW, Donnelly TC et al (1989) A common pathophysiology for full thickness rectal prolapse, anterior mucosal prolapse and solitary rectal ulcer. Br J Surg 76:290–295

    Article  PubMed  CAS  Google Scholar 

  36. Mellgren A, Schultz I, Johansson C, Dolk A (1997) Internal rectal intussusception seldom develops into total rectal prolapse. Dis Colon Rectum 40:817–820

    Article  PubMed  CAS  Google Scholar 

  37. Ihre T, Seligson U (1975) Intussusception of the rectum-internal procidentia: treatment and results in 90 patients. Dis Colon Rectum 18:391–396

    Article  PubMed  CAS  Google Scholar 

  38. Parks AG, Swash M, Urich H (1977) Sphincter denervation in anorectal incontinence and rectal prolapse. Gut 18:656–665

    Article  PubMed  CAS  Google Scholar 

  39. Yakut M, Kaymakciioglu N, Simsek A et al (1998) Surgical treatment of rectal prolapse: a retrospective analysis of 94 cases. Int Surg 83:53–55

    PubMed  CAS  Google Scholar 

  40. Peters WA 3rd, Smith MR, Drescher CW (2001) Rectal prolapse in women with other defects of pelvic floor support. Am J Obstet Cynecol 184:1488–1494

    Article  Google Scholar 

  41. Altman D, Zetterstrom J, Schultz I et al (2006) Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case–control study. Dis Colon Rectum 49:28–35

    Article  PubMed  CAS  Google Scholar 

  42. Gonzalez-Argente XF, Jain A, Nogueras JJ, Davila WG, Weiss EG, Wexner SD (2001) Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse. Dis Colon Rectum 44:920–926

    Article  PubMed  CAS  Google Scholar 

  43. Malik M, Stratton J, Sweeney WB (1997) Rectal prolapse associated with bulimia nervosa: report of seven cases. Dis Colon Rectum 40:1382–1385

    Article  PubMed  CAS  Google Scholar 

  44. Leighton JA, Valdovinos MA, Pemberton JH, et al (1993) Anorectal dysfunction and rectal prolapse in progressive systemic sclerosis. Dis Colon Rectum 36:182_185

    Article  PubMed  CAS  Google Scholar 

  45. Kram HB, Clark SR, Mackabee JR et al (1989) Rectal prolapse caused by blunt abdominal trauma. Surgery 105:790–792

    PubMed  CAS  Google Scholar 

  46. Wrobleski DE, Dailey TH (1979) Spontaneous rupture of the distal colon with evisceration of small intestine through the anus: report of two cases and review of the literature. Dis Colon Rectum 22:569–572

    Article  PubMed  CAS  Google Scholar 

  47. Hovey MA, Metcalf AM (1997) Incarcerated rectal prolapse: rupture and ideal evisceration after failed reduction: report on a case. Dis Colon Rectum 40:1254–1257

    Article  PubMed  CAS  Google Scholar 

  48. Karasick S, Spettell CM (1999) Defecography: does parity play a role in the development of rectal prolapse? Eur Radiol 9:450–453

    Article  PubMed  CAS  Google Scholar 

  49. Myers JO, Rothenberger DA (1991) Sugar in the reduction of incarcerated prolapsed bowel. Dis Colon Rectum 34:416–418

    Article  PubMed  CAS  Google Scholar 

  50. Gabriel WB (1963) The principles and practices of rectal surgery, 5th edn. Lewis, Springfield, IL

    Google Scholar 

  51. Hamalainen K-PJ, Ravio P, Antila S et al (1996) Biofeedback therapy in rectal prolapse patients. Dis Colon Rectum 39:262–265

    Article  PubMed  CAS  Google Scholar 

  52. Frykman HM, Goldberg SM (1969) The surgical management of rectal procidentia. Surg Gynecol Obstet 129:1225–1230

    PubMed  CAS  Google Scholar 

  53. McKee RF, Lauder JC, Poon FW, Aitchison MA, Finlay IG (1992) A prospective randomised study of abdominal rectopexy with and without sigmoidectomy in rectal prolapse. Surg Gynecol Obstet 174:145–148

    PubMed  CAS  Google Scholar 

  54. Luukkonen P, Mikkonen U, Järvinen H (1992) Abdominal rectopexy with sigmoidectomy vs rectopexy alone for rectal prolapse: a prospective, randomised study. Int J Colorectal Dis 7:219–222

    Article  PubMed  CAS  Google Scholar 

  55. Finlay IG, Aitchison M (1991) Perineal excision of the rectum for prolapse in the elderly. Br J Surg 78:687–689

    Article  PubMed  CAS  Google Scholar 

  56. Williams JG, Rothenberger DA, Madoff RD, Goldberg SM (1992) Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy. Dis Colon Rectum 35:830–834

    Article  PubMed  CAS  Google Scholar 

  57. Senapati A, Nicholls RJ, Thomson JP, Phillips RK (1994) Results of Delorme’s procedure for rectal prolapse. Dis Colon Rectum 37:456–460

    Article  PubMed  CAS  Google Scholar 

  58. Ripstein CB (1952) Treatment of massive rectal prolapse. Am J Surg 83:68–71

    Article  PubMed  CAS  Google Scholar 

  59. Cutait D (1959) Sacro-promontory fixation of the rectum for complete rectal prolapse. Proc R Soc Med 52(suppl):105

    Google Scholar 

  60. Carter AE (1983) Rectosacral suture fixation for complete prolapse in the elderly, the frail and the demented. Br J Surg 70:522–523

    Article  PubMed  CAS  Google Scholar 

  61. Novell JR, Osborne MJ, Winslet MC, Lewis AA (1994) Prospective randomised trial of Ivalon sponge versus sutured rectopexy for full-thickness rectal prolapse. Br J Surg 81:904–906

    Article  PubMed  CAS  Google Scholar 

  62. Graf W, Karlbom U, Påhlman L et al (1996) Functional results after abdominal suture rectopexy for rectal prolapse or intussusception. Eur J Surg 162:905–911

    PubMed  CAS  Google Scholar 

  63. Khanna AK, Misra MK, Kumar K (1996) Simplified sutured sacral rectopexy for complete rectal prolapse in adults. Eur J Surg 162:143–146

    PubMed  CAS  Google Scholar 

  64. Loygue J, Nordlinger B, Cunci O et al (1984) Rectopexy to the promontory of the treatment of rectal prolapse: report of 257 cases. Dis Colon Rectum 27:356–359

    Article  PubMed  CAS  Google Scholar 

  65. Wells C (1959) New operation for rectal prolapse. Proc R Soc Med 52:602–603

    PubMed  CAS  Google Scholar 

  66. Penfold JC, Hawley PR (1972) Experiences of Ivalon sponge implant for complete rectal prolapse at St Mark’s Hospital. Br J Surg 59:846–848

    Article  PubMed  CAS  Google Scholar 

  67. Morgan CN, Porter NH, Klugman DJ (1972) Ivalon sponge in the repair of complete rectal prolapse. Br J Surg 59:841–846

    Article  PubMed  CAS  Google Scholar 

  68. Benoist S, Taffinder N, Gould S et al (2001) Functional results two years after laparoscopic rectopexy. Am J Surg 182:168–173

    Article  PubMed  CAS  Google Scholar 

  69. Sayfan J, Pinho M, Alexander-Williams J, Keighley MRB (1990) Sutured posterior abdominal rectopexy with sigmoidectomy compared with Marlex rectopexy rectal prolapse. Br J Surg 77:143–145

    Article  PubMed  CAS  Google Scholar 

  70. Mollen RM, Kuijpers HC, van Hoek F (2000) Effects of rectal mobilization and lateral ligaments division on colonic and anorectal function. Dis Colon Rectum 43:1283–1287

    Article  PubMed  CAS  Google Scholar 

  71. Winde G, Reers H, Nottberg H et al (1993) Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapse. Eur J Surg 159:301–305

    PubMed  CAS  Google Scholar 

  72. Galili Y, Rabau M (1997) Comparison of polyglycolic acid and polypropylene mesh for rectopexy in the treatment of rectal prolapse. Eur J Surg 163:445–448

    PubMed  CAS  Google Scholar 

  73. Arndt M, Pircher W (1988) Absorbable mesh in the treatment of rectal prolapse. Int J Colorectal Dis 3:141–143

    Article  PubMed  CAS  Google Scholar 

  74. Scaglia M, Fasth S, Hallgren T et al (1994) Abdominal rectopexy for rectal prolapse: influence of surgical technique on functional outcome. Dis Colon Rectum 37:805–813

    Article  PubMed  CAS  Google Scholar 

  75. Athanasiadis S, Weyand G, Heiligers J et al (1996) The risk of infection of three synthetic materials used in rectopexy with or without colonic resection for rectal prolapse. Int J Colorectal Dis 11:42–44

    PubMed  CAS  Google Scholar 

  76. Araki Y, Isomoto H, Tsuzi Y et al (1999) Trans-sacral rectopexy for recurrent complete rectal prolapse. Surg Today 29:970–972

    Article  PubMed  CAS  Google Scholar 

  77. Lake SP, Hancock BD, Lewis AA (1984) Management of pelvic sepsis after Ivalon rectopexy. Dis Colon Rectum 27:589–590

    Article  PubMed  CAS  Google Scholar 

  78. Ross AH, Thomson JPS (1989) Management of infection after prosthetic abdominal rectopexy (Wells’ procedure). Br J Surg 76:610–612

    Article  PubMed  CAS  Google Scholar 

  79. Wedell J, Schlageter M, Meier zu Eissen P et al (1987) Die problematiek der pelvinen sepsis nach rectopexie mittels kunstoff und ihre behandlung. Chirurg 58:423–427

    PubMed  CAS  Google Scholar 

  80. Speakman CT, Madden MV, Nichols RJ, Kamm MA (1991) Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomised study. Br J Surg 78:1431–1433

    Article  PubMed  CAS  Google Scholar 

  81. Schultz I, Mellgren A, Dolk A et al (2000) Long-term results and functional outcome after Ripstein rectopexy. Dis Colon Rectum 43:35–43

    Article  PubMed  CAS  Google Scholar 

  82. Tobin SA, Scott IHK (1994) Delorme operation for rectal prolapse. Br J Surg 81:1681–1684

    Article  PubMed  CAS  Google Scholar 

  83. McMahan JD, Ripstein CB (1987) Rectal prolapse: an update on the rectal sling procedure. Am Surg 53:37–40

    PubMed  CAS  Google Scholar 

  84. Roberts PL, Schoetz DJ, Coller JA et al (1988) Ripstein procedure: Lahey clinic experience: 1963–1985. Arch Surg 123:554–557

    PubMed  CAS  Google Scholar 

  85. Takesue Y, Yokoyama T, Murakami Y et al (1999) The effectiveness of perineal rectosigmoidectomy for the treatment of rectal prolapse. Surg Today 29:290–293

    Article  PubMed  CAS  Google Scholar 

  86. Solla JA, Rotheberger DA, Goldberg SM (1989) Colonic resection in the treatment of complete rectal prolapse. Neth J Surg 41:132–135

    PubMed  CAS  Google Scholar 

  87. Stevenson AR, Stitz RW, Lumley JW (1998) Laparoscopic assisted resection rectopexy for rectal prolapse: early and medium follow-up. Dis Colon Rectum 41:46–54

    Article  PubMed  CAS  Google Scholar 

  88. Azimuddin K, Khubchandani IT, Rosen L et al (2001) Rectal prolapse: a search for the best operation. Am Surg 67:622–627

    PubMed  CAS  Google Scholar 

  89. Frykman HM (1955) Abdominal proctopexy and primary sigmoid resection for rectal procidentia. Am J Surg 90:780–789

    Article  PubMed  CAS  Google Scholar 

  90. Himpens J, Cadière GB, Bruyns J, Vertruyen M (1999) Laparoscopic rectopexy according to Wells. Surg Endosc 13:139–141

    Article  PubMed  CAS  Google Scholar 

  91. Watts JD, Rothenberger DA, Buls JG, Goldberg SM, Nivatvongs S (1985) The management of procidentia: 30 years experience. Dis Colon Rectum 28:96–102

    Article  PubMed  CAS  Google Scholar 

  92. Huber FT, Stein H, Siewert JR (1995) Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection. World J Surg 19:138–143

    Article  PubMed  CAS  Google Scholar 

  93. Deen KI, Grant E, Billingham C, Keighley MRB (1994) Abdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy and pelvic floor repair for full-thickness rectal prolapse. Br J Surg 81:302–304

    Article  PubMed  CAS  Google Scholar 

  94. Kim D-S, Tsang CB, Wong WD et al (1999) Complete rectal prolapse: evolution of management and results. Dis Colon Rectum 42:460–469

    Article  PubMed  CAS  Google Scholar 

  95. Theuerkauf FJ Jr, Beahrs OH, Hill JR (1970) Rectal prolapse: causation and surgical treatment. Ann Surg 171:819–835

    Article  PubMed  Google Scholar 

  96. Schlinkert RT, Beart RW, Wolff BG, Pemberton JH (1985) Anterior resection for complete rectal prolapse. Dis Colon Rectum 28:409–412

    Article  PubMed  CAS  Google Scholar 

  97. Blatchford GJ, Perry RE, Thorson AG, Christensen MA (1989) Rectal prolapse: rational therapy without foreign material. Neth J Surg 41:126–128

    PubMed  CAS  Google Scholar 

  98. Brazzelli M, Bachoo P, Grant A (2000) Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 2:CD001758

    PubMed  Google Scholar 

  99. Pescatori M, Interisano A, Stolfi VM, Zoffoli M (1998) Delorme’s operation and sphincteroplasty for rectal prolapse and fecal incontinence. Int J Colorectal Dis 13:223–227

    Article  PubMed  CAS  Google Scholar 

  100. Whitlow CB, Beck DE, Opelka FG, Gathright JB Jr, Timmcke AE, Hicks T (1997) Perineal repair of rectal prolapse. J La State Med Soc 149:22–26

    PubMed  CAS  Google Scholar 

  101. Darzi A, Henry MM, Guillou PJ et al (1995) Stapled laparoscopic rectopexy for rectal prolapse. Surg Endosc 9:301–303

    PubMed  CAS  Google Scholar 

  102. Dietzen CD, Pemberton JH (1989) Perineal approaches for the treatment of complete rectal prolapse. Neth J Surg 41:140–144

    PubMed  CAS  Google Scholar 

  103. Delorme R (1900) Sur le traitment des prolapses du rectum totaux pour l’excision de la muscueuse rectale ou rectocolique. Bull Mem Soc Chir Paris 26:499–518

    Google Scholar 

  104. Kling KM, Rongione AJ, Evans B, McFadden DW (1996) The Delorme procedure: a useful operation for complicated rectal prolapse in the elderly. Am Surg 62:857–860

    PubMed  CAS  Google Scholar 

  105. Lechaux JP, Lechaux D, Perez M (1995) Results of Delorme’s procedure for rectal prolapse: advantages of a modified technique. Dis Colon Rectum 38:301–307

    Article  PubMed  CAS  Google Scholar 

  106. Oliver GC, Vachon D, Eisenstat TE et al (1994) Delorme’s procedure for complete rectal prolapse in severely debilitated patients: an analysis of 41 patients. Dis Colon Rectum 37:461–467

    Article  PubMed  CAS  Google Scholar 

  107. Watts AMI, Thompson MR (2000) Evaluation of Delorme’s procedure as a treatment for full-thickness rectal prolapse. Br J Surg 87:218–222

    Article  PubMed  CAS  Google Scholar 

  108. Liberman H, Hughes C, Dippolito A (2000) Evaluation and outcome of the Delorme procedure in the treatment of rectal outlet obstruction. Dis Colon Rectum 43:188–192

    Article  PubMed  CAS  Google Scholar 

  109. Sielezneff I, Malouf A, Cesari J, Brunet C, Sarles JC, Sastre B (1999) Selection criteria for internal rectal prolapse repair by Delorme’s transrectal excision. Dis Colon Rectum 42:367–373

    Article  PubMed  CAS  Google Scholar 

  110. Miles WE (1933) Rectosigmoidectomy as a method of treatment for procidentia recti. Proc R Soc Med 26:1445–1448

    Google Scholar 

  111. Gabriel WB (1948) The principles and practices of rectal surgery. 4th edn. Thomas, Springfield, IL

    Google Scholar 

  112. Altemeier WA, Culbertson WR, Schwengerdt C et al (1971) Nineteen years’ experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173:993–1006

    Article  PubMed  CAS  Google Scholar 

  113. Xynos E, Chrysos J, Tsiaoussis J et al (1999) Resection rectopexy for rectal prolapse: the laparoscopic approach. Surg Endosc 13:862–864

    Article  PubMed  CAS  Google Scholar 

  114. Agachan F, Reissman P, Pfeifer J et al (1997) Comparison of three perineal procedures for the treatment of rectal prolapse. South Med J 90:925–932

    PubMed  CAS  Google Scholar 

  115. Ramanujam PS, Vankatesh KS, Fietz MJ (1994) Perineal excision of rectal procidentia in elderly high-risk patients: a ten-year experience. Dis Colon Rectum 37:1027–1030

    Article  PubMed  CAS  Google Scholar 

  116. Prasad ML, Pearl RK, Abcarian H et al (1986) Perineal proctectomy, posterior rectopexy and post anal levator repair for the treatment of rectal prolapse. Dis Colon Rectum 29:547–552

    Article  PubMed  CAS  Google Scholar 

  117. Johansen OB, Wexner SD, Daniel N et al (1993) Perineal rectosigmoidectomy in the elderly. Dis Colon Rectum 36:767–772

    Article  PubMed  CAS  Google Scholar 

  118. Longo A (1998) Treatment of hemorrhoid disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure. In: Proceedings of 6th World Congress of Endoscopic Surgery, Rome, Italy, pp 777–784

  119. Ommer A, Albrecht K, Wenger F, Walz MK (2006) Stapled transanal rectal resection (STARR): a new option in the treatment of obstructive defecation syndrome. Langenbecks Arch Surg 391:32–37

    Article  PubMed  CAS  Google Scholar 

  120. Boccasanta P, Venturi M, Salamina G, Cesana BM, Bernasconi F, Roviaro G (2004) New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 19:359–369

    Article  PubMed  Google Scholar 

  121. Boccasanta P, Venturi M, Stuto A et al (2004) Stapled transanal rectal resection for outlet obstruction: a prospective, multicenter trial. Dis Colon Rectum 47:1285–1297

    Article  PubMed  Google Scholar 

  122. Kellokumpu IH, Virozen J, Scheinin T (2000) Laparoscopic repair of rectal prolapse: a prospective study evaluating surgical outcome and changes in symptoms and bowel function. Surg Endosc 14:634–640

    Article  PubMed  CAS  Google Scholar 

  123. Heah SM, Hartely J, Hurley J et al (2000) Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse. Dis Colon Rectum 43:638–643

    Article  PubMed  CAS  Google Scholar 

  124. Kessler H, Jerby BL, Milsom JW (1999) Successful treatment of rectal prolapse by laparoscopic suture rectopexy. Surg Endosc 13:858–861

    Article  PubMed  CAS  Google Scholar 

  125. Bruch HP, Herold A, Schiedeck T, Schwandner O (1999) Laparoscopic surgery for rectal prolapse and outlet obstruction. Dis Colon Rectum 42:1189–1194

    Article  PubMed  CAS  Google Scholar 

  126. Boccasanta P, Venturi M, Reitano MC et al (1999) Laparotomic vs laparoscopic rectopexy in complete rectal prolapse. Dig Surg 16:415–419

    Article  PubMed  CAS  Google Scholar 

  127. Baker R, Senagore AJ, Luchtefeld MA (1995) Laparoscopic assisted vs open resection: rectopexy offers excellent results. Dis Colon Rectum 38:199–201

    Article  PubMed  CAS  Google Scholar 

  128. Solomon MJ, Young CJ, Eyers AA, Roberts RA (2002) Randomised clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse. Br J Surg 89:35–39

    Article  PubMed  CAS  Google Scholar 

  129. Ayav A, Bresler L, Brunaud L, Zarnegar R, Boissel P (2005) Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach. Int J Colorectal Dis 20:173–179

    Article  PubMed  CAS  Google Scholar 

  130. Tancer ML, Fleischer M, Berkowitz BJ (1987) Simultaneous colpo-recto-sacropexy. Obstet Gynecol 70:951–954

    PubMed  CAS  Google Scholar 

  131. Zhioua F, Ferchiou M, Pira JM, Jedoui A, Mariah S (1993) Uterine fixation to the promontory and the Orr–Loygue operation in the association of genital prolapse and rectal prolapse. Rev Fr Gynecol Obstet 88:277–281

    PubMed  CAS  Google Scholar 

  132. Dekel A, Rabinerson D, Rafael ZB, Kaplan B, Mislovaty B, Bayer Y (2000) Concurrent genital and rectal prolapse: two pathologies–one joint operation. Br J Obstet Gynaecol 107:125–129

    CAS  Google Scholar 

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Authors and Affiliations

  1. Clinical Attachment in Division of General Surgery and Oncology, Royal Liverpool University Hospital, 21 Millersdale Road, Mossley Hill, L18 5HG, Liverpool, UK

    Stavros Gourgiotis

  2. First Surgical Department, ‘Evangelismos’ General Hospital of Athens, 45-47 Ipsilantou Street, Kolonaki, Athens, Greece

    Sotirios Baratsis

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  2. Sotirios Baratsis
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Correspondence to Stavros Gourgiotis.

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Gourgiotis, S., Baratsis, S. Rectal prolapse. Int J Colorectal Dis 22, 231–243 (2007). https://doi.org/10.1007/s00384-006-0198-2

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  • DOI: https://doi.org/10.1007/s00384-006-0198-2

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